Branches of Life, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW3165 Issued in TN

Legal business name

BRANCHES OF LIFE, INC.

Practice address

1203 Poplar Ave Ste 5
Memphis, TN 38104-7278

Phone

(901) 728-5554

Fax

(901) 728-6011

NPI assigned

Oct 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory Motley Sr., LMSW, LADC, MAC, MEDNPI 1801117049

Title

Director

Phone

(901) 728-5554

Specialties & licenses 12

Addresses

Other identifiers 6

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Motley, LMSW, LADC, MAC

  • Social Worker
  • Memphis, TN
  • NPI 1801117049

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Carlos Cathey, PT

  • Physical Therapist
  • Memphis, TN
  • NPI 1639360159
  NPD (past)
• Sung C Ro, MD

  • Legal Medicine
  • Memphis, TN
  • NPI 1538100383
  NPD (past)
• Jerry Hamilton, LCSW

  • Clinical Social Worker
  • Southaven, MS
  • NPI 1831386747
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1609959212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40632",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381740632",
            "telephone_number": "901-728-5554",
            "fax_number": "901-728-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 POPLAR AVE STE 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047278",
            "telephone_number": "901-728-5554",
            "fax_number": "901-728-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCHES OF LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "MOTLEY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-728-5554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LMSW, LADC, MAC, MED"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TN",
            "license": "AC23491",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TN",
            "license": "F16765",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "308",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "BC23491",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC908",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "CSW",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "F20063",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW3185",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW3165",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "LSW1502",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LPC908",
            "primary": false
        },
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "TN",
            "license": "MD010748",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "561112000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "J.D. FARLEY INSURANCE",
            "identifier": "11587744",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3728928",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH-AETNA",
            "identifier": "11549639",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4114450",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joerald D Branch, DDS
• Ladonna Gena Branch
• Marjorie D. Branch, HAIR LOSS SPECIALIST
• Roderick A. Branch, D.D.S
• Sandra Kay Branch
• Amy Grace Brandeburg
• Brandi Lashay Rhoden LLC
• Emily Perry Brandl, PHARM.D.
• Angela Denise Brandon
• Carolyn S Brandon, RN/NP

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.